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PLACEMENT DRIVE - REGISTRATION FORM
Venue
Date
Personal Details
Student Name
*
Father's Name
*
Mother's Name
*
Date Of Birth
*
--Day--
--Month--
--Year--
Gender
*
--Select--
Male
Female
Institution Name
*
--Select--
Year of Passing
*
Select Year
Current Pursuing Degree
*
Select Degree
UG
PG
Current Pursuing Course
*
Select Course
Email-id
*
Mobile Number
*
Address for Communication
Address 1
*
City
*
District
*
State
*
--Select--
Pin Code
*
School Educational Details
Class X
*
Group / Stream / Branch
Year of Passing
Select Year
Marks (%)
Name of the Institution
Class XII
Group / Stream / Branch
Year of Passing
Select Year
Marks (%)
Name of the Institution
College Educational Details of UG / PG
UG
Name & Location of the Institution
Degree
Select Degree
Year of Completion
Total Marks (%) / CGPA
PG
Name & Location of the Institution
Degree
Select Degree
Year of Completion
Total Marks (%) / CGPA
Others
Name & Location of the Institution
Degree
Year of Completion
Total Marks (%) / CGPA
Declaration
I declare that all the above details are true to the best of my knowledge. I intend to attend the scheduled training classes and would participate in all the events conducted as part of the Training program.